Join Neighbourhood Watch

Membership Form – NHW

Name*
First Last
Email*
Street Address*
Street Address
Suburb*
Cell No*
ID/Passport Number*
Security Provider*
- Allsound
- Phangela
- Coastal
Patrol*
Please indicate if you would be willing to become a patroller
- Yes
- No
Other ways you are prepared to asssit
Donation*
Would you like to make a donation?
- Yes
- No
Consent*
I confirm that I have read and understood and agreed to the privacy policy, that I consent to the HRFRA collecting, processing, retention etc of my personal data for the purposes of HRFRA membership
THANK YOU FOR SHOWING AN INTEREST IN OUR SUCCESSFUL NEIGHBOURHOOD WATCH
Name
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